CPT 91020 pays $308.62 in a non-facility setting and $308.62 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $270.78 in Arkansas to $357.59 in District of Columbia, a 32% spread.
National non-facility rate
$308.62
Office and other outpatient settings
Hospital and ASC settings
District of Columbia
Arkansas · 32% spread
53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.
| State | Rate compared visually | Non-facility | Facility |
|---|---|---|---|
| District of Columbia | $357.59 | $357.59 | |
| California | $356.58 | $356.58 | |
| Alaska | $347.65 | $347.65 | |
| Washington | $345.82 | $345.82 | |
| New Jersey | $343.91 | $343.91 | |
| Hawaii | $343.01 | $343.01 | |
| New York | $341.76 | $341.76 | |
| Massachusetts | $341.55 | $341.55 | |
| Connecticut | $330.08 | $330.08 | |
| Colorado | $325.19 | $325.19 | |
| Oregon | $322.13 | $322.13 | |
| Maryland | $320.45 | $320.45 | |
| New Hampshire | $318.92 | $318.92 | |
| Rhode Island | $317.78 | $317.78 | |
| Minnesota | $314.26 | $314.26 | |
| Florida | $312.02 | $312.02 | |
| Puerto Rico | $311.44 | $311.44 | |
| Virgin Islands | $311.44 | $311.44 | |
| Montana | $308.62 | $308.62 | |
| Nevada | $308.44 | $308.44 | |
| Wyoming | $307.93 | $307.93 | |
| North Dakota | $307.04 | $307.04 | |
| South Dakota | $306.85 | $306.85 | |
| Delaware | $305.48 | $305.48 | |
| Vermont | $304.71 | $304.71 | |
| Texas | $304.67 | $304.67 | |
| Pennsylvania | $303.92 | $303.92 | |
| Virginia | $303.43 | $303.43 | |
| Illinois | $302.47 | $302.47 | |
| Arizona | $300.20 | $300.20 | |
| Georgia | $297.30 | $297.30 | |
| Maine | $296.09 | $296.09 | |
| Wisconsin | $295.89 | $295.89 | |
| Michigan | $293.90 | $293.90 | |
| Utah | $292.80 | $292.80 | |
| North Carolina | $290.29 | $290.29 | |
| South Carolina | $288.52 | $288.52 | |
| Indiana | $288.33 | $288.33 | |
| New Mexico | $287.65 | $287.65 | |
| Missouri | $287.24 | $287.24 | |
| Nebraska | $287.00 | $287.00 | |
| Idaho | $286.48 | $286.48 | |
| Louisiana | $286.20 | $286.20 | |
| Ohio | $286.10 | $286.10 | |
| Iowa | $284.98 | $284.98 | |
| Tennessee | $283.80 | $283.80 | |
| Kansas | $282.42 | $282.42 | |
| Oklahoma | $280.30 | $280.30 | |
| Kentucky | $279.63 | $279.63 | |
| West Virginia | $275.82 | $275.82 | |
| Alabama | $275.07 | $275.07 | |
| Mississippi | $271.90 | $271.90 | |
| Arkansas | $270.78 | $270.78 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates